Most Relevant Information
Provider Data
| NPI Number: | 1003361007 |
| Provider Name: | ANTWAN FARAJ DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501017840 |
Most Important Dates
| Enumeration Date: | 08/18/2016 |
| Last Updated: | 01/10/2021 |
Provider Practice Location
668 E 9 MILE RD
FERNDALE
MI
482201962
Practice Location Phone/Fax
| Phone: | 2487335052 |
| Fax: |
Provider Mailing Location
344 E HARRY AVE
HAZEL PARK
MI
480302055
Provider Mailing Phone/Fax
| Phone: | 5868714805 |
| Fax: |